CPR CARDIAC ARREST

DAN NON CARDIAC

ARREST

PEMBIMBING :
Dr. Purwito Nugroho, Sp.An, MM

Oleh :
Elvina Elizabeth
406138163

KEPANITERAAN KLINIK ANESTESIOLOGI DAN RAWAT

INTENSIF
RUMAH SAKIT UMUM DAERAH KOTA SEMARANG
FAKULTAS KEDOKTERAN UNIVERSITAS
TARUMANAGARA
PERIODE 24 NOVEMBER 2014 13 DESEMBER 2014

DEFINITI
ON
Cardio pulmonary resuscitation is
an emergency measure as an
attempt to reverse the situation
stop breathing and cardiac arrest
(clinical death) to function optimally,
in order to prevent biological death.
Resuscitation from cardiac arrest
and stopped breathing is a critical
business that absolutely must be

INDICATIO
NS
1. Respiratory Arrest
2. Cardiac Arrest

a. Respiratory
Arrest
a. Drowning
b. Stroke
Attack
c. Airway
Obstruction

d. Overdosis
e. Electric
Shock
f. Infark
Miokard

b. Cardiac Arrest
1. Asystole
2. PEA (Pulseless Electrical Activity)

3. VF (Ventricular Fibrillation)
4. Pulseless VT (Ventricular Tachycardia )

KONTRAINDI
KASI
Cardiac arrest ( > 5 minute)
Terminal phase of the disease
The inside of the chest trauma , such
as sharp cuts
Air embolism
Tension pneumothorak
Cardiac tamponade
Normal death
Patients with criteria do not

WHEN STOPPED
CPR ????
Spontaneous circulation and ventilation
has been improved
Sign
of
irreversible
death,
as
rigormortis,
decapitation,
decomposition, or pale
Helper has been unable to continue the
action
because
of
tired
or
the
circumstances endanger environment
When a patient is found to be in the

CPR
PHASE
I. Basic Life Support
a. Airway
control
b. Breathing
support
c. Circulation
support
II. Advanced Life Support
a.
b. Drug and fluid
Electrocardiogra
c. Fibrillation
phy
treatment

III. Prolonged Life Support

a. Gauging
b. Human
Mentation
c. Intensive
Care

BASIC LIFE SUPPORT

AIRWAY
CONTROL

Finger sweep
technique

Cross finger
technique

Heimlich
Maneuver

Chest Thrust

BREATHING
SUPPORT

Look, listen

CIRCULATION
SUPPORT

DVANCED LIFE SUPPORT

Drug and
fluid
Installation of infusion
IV drug delivery / in the etiology of cardiac
arrest with VT / VF :
a. 1 mg of adrenaline after 3 times of shock
and then every 3-5 minutes ( during CPR
cycle in progress )
b. Amiodarone 300 mg is also given after 3
times of shock
c. Atropine is no longer recommended in
asystole and PEA

Electrocardiog
raphy

Fibrilasi
Ventrikel

Asystole

Fibrillation
treatment
To treat ventricular fibrillation do
DC - shock . The first defibrillation
given 3 joules / kg . The highest
repeat dose is 5 joules / kg with a
maximum of 400 joules .

PROLONGED LIFE
SUPPORT)

Gauging
Evaluate and treat the cause as well
as to assess whether the patient can
be saved and whether the relief
efforts need to be continued .

Human
mentation
Further resuscitation of the brain and
nervous system to prevent
permanent neurologic abnormalities .
Some use the term hypothermia for
human mentation . Hypothermia is
one way to resuscitate the brain after
hypoxia , by lowering the patient 's
body temperature to 32 - 330C .

Intensive
care
Long-term care in the form of efforts
to maintain homeostasis
extracranial and intracranial
homeostasis , among others, by
maintaining the function of the
respiratory , cardiovascular ,
metabolic , renal and liver function .

CPR
DIFFERENCE
ILCOR 2005 &
2010

1. Not ABC again but CAB

2. No more look , listen and
feel
3. Chest Compression
deeper
4. Chest Compression
faster again
5. Hands -only CPR
6. Recognize sudden
cardiac arrest
7. Do not stop pressing

Recommendati
ons
CPR 2010

CONCLUSION

CPR is an emergency action performed

on certain conditions that can lead to a
stop breathing or cardiac arrest .
Indications CPR was stopped breathing
and cardiac arrest are not expected death
. CPR is contraindicated patients with
terminal stage of disease .
CPR consists of basic life support ,
advanced life support and long-term
assistance . At each stage there is action
- action that were prepared alphabetically
.

In basic life support , the

guidelines in 2005 , the first to be
examined
is
the
airway
and
breathing and circulation last .
However , in 2010 there were
guidelines that change , which was
first examined is the consideration
that
the
circulation
because
oxygen can still be fulfilled his
needs and the sooner performed
CPR will increase its success

BIBLIOGRAPHY
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Kardiovaskuler.
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2009.
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6. American
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Care
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http://www.circ-ahajournals.org Diunduh pada tanggal
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